BREAST RECONSTRUCTIONS AFTER BREAST CANCER TREATING
Background. Breasts are an important symbol of physical beauty, feminity, mothering and sexual desire through the entire history of mankind. Lost of the whole or part of the breast is functional and aesthetic disturbance for woman. It is understandable, that the woman, who is concerned over breast loss, is as appropriate as another person´s concern over the loss of a limb or other body part. Before the 1960, breast reconstruction was considered as a dangerous procedure and it was almost prohibited. Considering the psychological importance of the breast in modern society, the possibility of breast reconstruction for the woman about to undergo a mastectomy is a comforting alternative. We can perform breast reconstruction with autologous tissue (autologous reconstruction), with breast implants and combination of both methods. For autologous reconstruction we can use local tissue (local flaps), or tissue from distant parts of the body (free vascular tissue transfer). Tissue expansion must be performed first, in many cases of breast reconstructions with breast implants.
Conclusions. Possibility of breast reconstruction made a big progress last 3 decades. Today we are able to reconstruct almost every defect of the breast and the entire breast. Breast reconstruction rise the quality of life for breast cancer patients. Breast reconstruction is a team work of experts from many medicine specialites. In Slovenia we can offer breast reconstruction for breast cancer patients in Ljubljana, where plastic surgeons from Clinical Department for Plastic Surgery and Burns cooperate with oncologic surgeons. Ten years ago a similar cooperation between plastic surgeons and surgeons of the Centre for Breast Diseases was established in Maribor.
Primic-Žakelj M, Bračko M, Hočevar M, Pompe-Kirn V, Strojan
P, Zadnik V, et al. Incidenca raka v Sloveniji 2006. Ljubljana:
Onkološki inštitut, Register raka Republike Slovenije; 2009. p.
Bostwick J.III. Plastic and reconstructive breast surgery. 2nd ed.
St. Luis: Quality Medical Publishing Inc; 2000. p. 730–4.
Ahčan U, Pogorelec D, Planinšek F, Božikov K, Repež A, Zorman
P. Rekonstrukcija po raku dojke: kaj morate vedeti: pomoč za
pravilno odločitev. Ljubljana: Delo Revije; 2007.
Kroll SS. Why autologous tissue. Clin Plast Surg 1998; 25: 135–
Krishna BC. An approach to the repair of partial mastectomy defects.
In: European school of oncology. Breast cancer: oncologic
and reconstructive surgery, Duesseldorf; 2002. p. 409–19.
Bostwick J. Why I choose autogenous tissue in breast reconstruction.
Clin Plast Surg 1998; 25:165–75.
Becker H. Expansion augmentation. Clin Plast Surg 1988; 15:
Georgiade GS, Georgiade NG. Nipple-areola reconstruction. In
Georgiade NG, Georgiade GS, Riefkohl R, Barwick WJ. Essentials
of plastic, maxillofacial and reconstructive surgery. Baltimore:
Williams & Wilkins; 1987. p. 718–9.
Spear LS, Walker RK, Romm S. Pertinent anatomy of the breast.
In: Goldwyn RM. Reduction mammaplasty. Vol 1. Boston: Little
Brown and Company; 1990. p. 17–20.
Petit JY. Cosmetic and reconstructive surgery and risk of breast
cancer. In: European school of oncology. Breast cancer: oncologic
and reconstructive surgery, Duesseldorf; 2002. p. 14–8.
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